Different characteristics of postoperative atrial tachyarrhythmias between congenital and non-congenital heart disease
Purpose The chance of encountering tachyarrhythmias has been increasing in adult congenital heart disease (CHD) patients with previous open-heart surgery, along with the improvement of their longevity. However, the characteristics of these arrhythmias remain to be elucidated. Methods We examined the...
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| Veröffentlicht in: | Journal of interventional cardiac electrophysiology 2020-06, Vol.58 (1), p.1-8 |
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| creator | Kondo, Masateru Fukuda, Koji Wakayama, Yuji Nakano, Makoto Hasebe, Yuhi Satake, Hiroyuki Segawa, Masato Hirano, Michinori Shimokawa, Hiroaki |
| description | Purpose
The chance of encountering tachyarrhythmias has been increasing in adult congenital heart disease (CHD) patients with previous open-heart surgery, along with the improvement of their longevity. However, the characteristics of these arrhythmias remain to be elucidated.
Methods
We examined the characteristics of atrial tachyarrhythmias (ATs) in 26 consecutive CHD patients (M/F 17/9) referred for catheter ablation and compared them with 16 non-CHD patients with cardiac surgery (M/F 11/5).
Results
The CHD group was younger and had a longer period from cardiac surgery until the occurrence of ATs compared with the non-CHD group (44.8 ± 19.5 vs. 67.6 ± 12.5 years old, and 23.3 ± 13.2 vs. 6.3 ± 4.9 years, respectively, both
P
|
| doi_str_mv | 10.1007/s10840-019-00575-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2340044290</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2239442065</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-57069a8b67fc231143d0c61e7e13fab1bf13b2340fae6889bbf7edbddb0389dd3</originalsourceid><addsrcrecordid>eNp9kU2PFCEQhonRuOvoH_BgSLx4QYumaeij2fUr2cSLJt4I0IXNZgZGYNbMv5d11o948AShnnqrwkPIUw4vOYB6VTnoERjwmQFIJdlwj5xzqQam5Szv97vQgmklv5yRR7VeA8AMw_SQnAnOZyX1eE5uLmMIWDA16ldbrG9YYm3RV5oD3efa8h6LbfEGqW0l2i1t1q9HW8p6bOsu2kodtu-IifqcvmKKrTM2LTTlxP56WtGWRpdY0VZ8TB4Eu6345O7ckM9v33y6eM-uPr77cPH6inmhZGNSwTRb7SYV_NCXHsUCfuKokItgHXeBCzeIEYLFSevZuaBwccviQOh5WcSGvDjl7kv-dsDazC5Wj9utTZgP1dz2wjgOM3T0-T_odT6U1LczwyDmDsEkOzWcKF9yrQWD2Ze4s-VoOJhbK-ZkxXQr5qeVPmNDnt1FH9wOl98tvzR0QJyA2kv9x8qf2f-J_QEk1prc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2239442065</pqid></control><display><type>article</type><title>Different characteristics of postoperative atrial tachyarrhythmias between congenital and non-congenital heart disease</title><source>SpringerLink Journals</source><creator>Kondo, Masateru ; Fukuda, Koji ; Wakayama, Yuji ; Nakano, Makoto ; Hasebe, Yuhi ; Satake, Hiroyuki ; Segawa, Masato ; Hirano, Michinori ; Shimokawa, Hiroaki</creator><creatorcontrib>Kondo, Masateru ; Fukuda, Koji ; Wakayama, Yuji ; Nakano, Makoto ; Hasebe, Yuhi ; Satake, Hiroyuki ; Segawa, Masato ; Hirano, Michinori ; Shimokawa, Hiroaki</creatorcontrib><description>Purpose
The chance of encountering tachyarrhythmias has been increasing in adult congenital heart disease (CHD) patients with previous open-heart surgery, along with the improvement of their longevity. However, the characteristics of these arrhythmias remain to be elucidated.
Methods
We examined the characteristics of atrial tachyarrhythmias (ATs) in 26 consecutive CHD patients (M/F 17/9) referred for catheter ablation and compared them with 16 non-CHD patients with cardiac surgery (M/F 11/5).
Results
The CHD group was younger and had a longer period from cardiac surgery until the occurrence of ATs compared with the non-CHD group (44.8 ± 19.5 vs. 67.6 ± 12.5 years old, and 23.3 ± 13.2 vs. 6.3 ± 4.9 years, respectively, both
P
< 0.05). Multiple ATs were equally induced in both groups, 12 in CHD (46.1%) and 5 in non-CHD (31.3%). Although the prevalence of macro-reentrant ATs (cavo-tricuspid isthmus-dependent atrial flutter (AFL) or intra-atrial reentrant tachycardia (IART)) was comparable, the mechanisms were different between the 2 groups (AFL and IART), 34% and 27% in CHD and 71% and 24% in non-CHD, respectively. Furthermore, focal AT (FAT) was noted in 9 patients (34.6%) in CHD but none in non-CHD (
P
< 0.05). Electroanatomical mapping showed that the surface area and low-voltage area (LVA) of the right atrium were significantly larger in CHD than in non-CHD (197.1 ± 56.4 vs. 132.4 ± 41.2 cm
2
, and 40.8 ± 33.3 vs. 13.6 ± 9.0 cm
2
, respectively, both
P
< 0.05). Ten out of 14 FATs (71.4%) were highly associated with LVA, especially near the crista terminalis.
Conclusions
The development of ATs in CHD patients could be associated with large atrial remodeling, resulting in complicated ATs.</description><identifier>ISSN: 1383-875X</identifier><identifier>EISSN: 1572-8595</identifier><identifier>DOI: 10.1007/s10840-019-00575-2</identifier><identifier>PMID: 31197584</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Ablation ; Atrium ; Cardiology ; Cardiovascular disease ; Cardiovascular diseases ; Catheters ; Congenital diseases ; Coronary artery disease ; Fats ; Flutter ; Heart diseases ; Heart surgery ; Mapping ; Medical instruments ; Medicine ; Medicine & Public Health ; Surgery ; Tachycardia</subject><ispartof>Journal of interventional cardiac electrophysiology, 2020-06, Vol.58 (1), p.1-8</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-57069a8b67fc231143d0c61e7e13fab1bf13b2340fae6889bbf7edbddb0389dd3</citedby><cites>FETCH-LOGICAL-c375t-57069a8b67fc231143d0c61e7e13fab1bf13b2340fae6889bbf7edbddb0389dd3</cites><orcidid>0000-0001-7209-8420</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10840-019-00575-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10840-019-00575-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31197584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kondo, Masateru</creatorcontrib><creatorcontrib>Fukuda, Koji</creatorcontrib><creatorcontrib>Wakayama, Yuji</creatorcontrib><creatorcontrib>Nakano, Makoto</creatorcontrib><creatorcontrib>Hasebe, Yuhi</creatorcontrib><creatorcontrib>Satake, Hiroyuki</creatorcontrib><creatorcontrib>Segawa, Masato</creatorcontrib><creatorcontrib>Hirano, Michinori</creatorcontrib><creatorcontrib>Shimokawa, Hiroaki</creatorcontrib><title>Different characteristics of postoperative atrial tachyarrhythmias between congenital and non-congenital heart disease</title><title>Journal of interventional cardiac electrophysiology</title><addtitle>J Interv Card Electrophysiol</addtitle><addtitle>J Interv Card Electrophysiol</addtitle><description>Purpose
The chance of encountering tachyarrhythmias has been increasing in adult congenital heart disease (CHD) patients with previous open-heart surgery, along with the improvement of their longevity. However, the characteristics of these arrhythmias remain to be elucidated.
Methods
We examined the characteristics of atrial tachyarrhythmias (ATs) in 26 consecutive CHD patients (M/F 17/9) referred for catheter ablation and compared them with 16 non-CHD patients with cardiac surgery (M/F 11/5).
Results
The CHD group was younger and had a longer period from cardiac surgery until the occurrence of ATs compared with the non-CHD group (44.8 ± 19.5 vs. 67.6 ± 12.5 years old, and 23.3 ± 13.2 vs. 6.3 ± 4.9 years, respectively, both
P
< 0.05). Multiple ATs were equally induced in both groups, 12 in CHD (46.1%) and 5 in non-CHD (31.3%). Although the prevalence of macro-reentrant ATs (cavo-tricuspid isthmus-dependent atrial flutter (AFL) or intra-atrial reentrant tachycardia (IART)) was comparable, the mechanisms were different between the 2 groups (AFL and IART), 34% and 27% in CHD and 71% and 24% in non-CHD, respectively. Furthermore, focal AT (FAT) was noted in 9 patients (34.6%) in CHD but none in non-CHD (
P
< 0.05). Electroanatomical mapping showed that the surface area and low-voltage area (LVA) of the right atrium were significantly larger in CHD than in non-CHD (197.1 ± 56.4 vs. 132.4 ± 41.2 cm
2
, and 40.8 ± 33.3 vs. 13.6 ± 9.0 cm
2
, respectively, both
P
< 0.05). Ten out of 14 FATs (71.4%) were highly associated with LVA, especially near the crista terminalis.
Conclusions
The development of ATs in CHD patients could be associated with large atrial remodeling, resulting in complicated ATs.</description><subject>Ablation</subject><subject>Atrium</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Catheters</subject><subject>Congenital diseases</subject><subject>Coronary artery disease</subject><subject>Fats</subject><subject>Flutter</subject><subject>Heart diseases</subject><subject>Heart surgery</subject><subject>Mapping</subject><subject>Medical instruments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Surgery</subject><subject>Tachycardia</subject><issn>1383-875X</issn><issn>1572-8595</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU2PFCEQhonRuOvoH_BgSLx4QYumaeij2fUr2cSLJt4I0IXNZgZGYNbMv5d11o948AShnnqrwkPIUw4vOYB6VTnoERjwmQFIJdlwj5xzqQam5Szv97vQgmklv5yRR7VeA8AMw_SQnAnOZyX1eE5uLmMIWDA16ldbrG9YYm3RV5oD3efa8h6LbfEGqW0l2i1t1q9HW8p6bOsu2kodtu-IifqcvmKKrTM2LTTlxP56WtGWRpdY0VZ8TB4Eu6345O7ckM9v33y6eM-uPr77cPH6inmhZGNSwTRb7SYV_NCXHsUCfuKokItgHXeBCzeIEYLFSevZuaBwccviQOh5WcSGvDjl7kv-dsDazC5Wj9utTZgP1dz2wjgOM3T0-T_odT6U1LczwyDmDsEkOzWcKF9yrQWD2Ze4s-VoOJhbK-ZkxXQr5qeVPmNDnt1FH9wOl98tvzR0QJyA2kv9x8qf2f-J_QEk1prc</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Kondo, Masateru</creator><creator>Fukuda, Koji</creator><creator>Wakayama, Yuji</creator><creator>Nakano, Makoto</creator><creator>Hasebe, Yuhi</creator><creator>Satake, Hiroyuki</creator><creator>Segawa, Masato</creator><creator>Hirano, Michinori</creator><creator>Shimokawa, Hiroaki</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7209-8420</orcidid></search><sort><creationdate>20200601</creationdate><title>Different characteristics of postoperative atrial tachyarrhythmias between congenital and non-congenital heart disease</title><author>Kondo, Masateru ; Fukuda, Koji ; Wakayama, Yuji ; Nakano, Makoto ; Hasebe, Yuhi ; Satake, Hiroyuki ; Segawa, Masato ; Hirano, Michinori ; Shimokawa, Hiroaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-57069a8b67fc231143d0c61e7e13fab1bf13b2340fae6889bbf7edbddb0389dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Ablation</topic><topic>Atrium</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Catheters</topic><topic>Congenital diseases</topic><topic>Coronary artery disease</topic><topic>Fats</topic><topic>Flutter</topic><topic>Heart diseases</topic><topic>Heart surgery</topic><topic>Mapping</topic><topic>Medical instruments</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Surgery</topic><topic>Tachycardia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kondo, Masateru</creatorcontrib><creatorcontrib>Fukuda, Koji</creatorcontrib><creatorcontrib>Wakayama, Yuji</creatorcontrib><creatorcontrib>Nakano, Makoto</creatorcontrib><creatorcontrib>Hasebe, Yuhi</creatorcontrib><creatorcontrib>Satake, Hiroyuki</creatorcontrib><creatorcontrib>Segawa, Masato</creatorcontrib><creatorcontrib>Hirano, Michinori</creatorcontrib><creatorcontrib>Shimokawa, Hiroaki</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of interventional cardiac electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kondo, Masateru</au><au>Fukuda, Koji</au><au>Wakayama, Yuji</au><au>Nakano, Makoto</au><au>Hasebe, Yuhi</au><au>Satake, Hiroyuki</au><au>Segawa, Masato</au><au>Hirano, Michinori</au><au>Shimokawa, Hiroaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Different characteristics of postoperative atrial tachyarrhythmias between congenital and non-congenital heart disease</atitle><jtitle>Journal of interventional cardiac electrophysiology</jtitle><stitle>J Interv Card Electrophysiol</stitle><addtitle>J Interv Card Electrophysiol</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>58</volume><issue>1</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>1383-875X</issn><eissn>1572-8595</eissn><abstract>Purpose
The chance of encountering tachyarrhythmias has been increasing in adult congenital heart disease (CHD) patients with previous open-heart surgery, along with the improvement of their longevity. However, the characteristics of these arrhythmias remain to be elucidated.
Methods
We examined the characteristics of atrial tachyarrhythmias (ATs) in 26 consecutive CHD patients (M/F 17/9) referred for catheter ablation and compared them with 16 non-CHD patients with cardiac surgery (M/F 11/5).
Results
The CHD group was younger and had a longer period from cardiac surgery until the occurrence of ATs compared with the non-CHD group (44.8 ± 19.5 vs. 67.6 ± 12.5 years old, and 23.3 ± 13.2 vs. 6.3 ± 4.9 years, respectively, both
P
< 0.05). Multiple ATs were equally induced in both groups, 12 in CHD (46.1%) and 5 in non-CHD (31.3%). Although the prevalence of macro-reentrant ATs (cavo-tricuspid isthmus-dependent atrial flutter (AFL) or intra-atrial reentrant tachycardia (IART)) was comparable, the mechanisms were different between the 2 groups (AFL and IART), 34% and 27% in CHD and 71% and 24% in non-CHD, respectively. Furthermore, focal AT (FAT) was noted in 9 patients (34.6%) in CHD but none in non-CHD (
P
< 0.05). Electroanatomical mapping showed that the surface area and low-voltage area (LVA) of the right atrium were significantly larger in CHD than in non-CHD (197.1 ± 56.4 vs. 132.4 ± 41.2 cm
2
, and 40.8 ± 33.3 vs. 13.6 ± 9.0 cm
2
, respectively, both
P
< 0.05). Ten out of 14 FATs (71.4%) were highly associated with LVA, especially near the crista terminalis.
Conclusions
The development of ATs in CHD patients could be associated with large atrial remodeling, resulting in complicated ATs.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31197584</pmid><doi>10.1007/s10840-019-00575-2</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7209-8420</orcidid></addata></record> |
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| language | eng |
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| source | SpringerLink Journals |
| subjects | Ablation Atrium Cardiology Cardiovascular disease Cardiovascular diseases Catheters Congenital diseases Coronary artery disease Fats Flutter Heart diseases Heart surgery Mapping Medical instruments Medicine Medicine & Public Health Surgery Tachycardia |
| title | Different characteristics of postoperative atrial tachyarrhythmias between congenital and non-congenital heart disease |
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